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FREE First VolleyTennis Clinic - June 25, 2011 - Springfield MA

TENNIS ANYONE? ADAPTIVE TENNIS CLINIC Orthotic and Prosthetic Assistance Fund and Shriners Hospitals for Children® - Springfield, MA For kids with physical challenges and their siblings (5 years & over) Saturday, June 25, 2011 9 am to 12 noon Forest Park Tennis Center (413.787.6461) Sumner Avenue (across from 300) Springfield, MA First Volley Clinics are made possible through USTA Serves. There is NO Charge. We will put you through multiple tennis drills and give you confidence in your ability to play and enjoy the game. Wheelchair participants are welcome. Equipment, Games, Prizes, Refreshments are provided. Pre-registration Required For more information call 413.735.1291 List any special requirements: ___________________________________________________________________________________________________ Mail or fax registration form to: Shriners Hospitals for Children® Attention: Bernadette White 516 Carew St. Springfield, MA 01104 Fax: 413.787.2040 Name:_____________________________________ Address:__________________________________ ___________________________________________ E-mail:____________________________________ Phone:____________________________________ Date of Birth:______________________________ Level of Amputation:_______________________ Type of Orthosis:__________________________ Other Type of Disability:____________________ ___________________________________________  

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